C & C Dental Group Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029739L Issued in PA

Legal business name

C & C DENTAL GROUP INC

Doing business as

Manor Dental Associates

Practice address

1501 Lower State Rd
Building C Suite 202
North Wales, PA 19454-1216

Phone

(215) 646-0616

Fax

(215) 646-0622

NPI assigned

Feb 24, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph A Castor, DMD

Title

General Dentist/Owner

Phone

(215) 646-0616

Specialties & licenses 1

Addresses

Other names 1

• Manor Dental Associates Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1023330529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "BUILDING C SUITE 202",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-646-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWER STATE RD",
            "address_2": "BUILDING C SUITE 202",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541216",
            "telephone_number": "215-646-0616",
            "fax_number": "215-646-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & C DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "215-646-0616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029739L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shawna Burkholder, RPH
• Melissa Mae Burroughs, PTA
• Melissa Busch, OTR/L
• Michael Buxbaum, MD
• Marta Buzik
• Arin Cardamone, CRNP
• Care Alternatives of Pennsylvania, LLC (Ascend Hospice)
• Megan Liane Carina, LMFT
• Christian Carroll
• Keith Andrew Casey

• General Practice Dentistry in North Wales, PA
• Providers in North Wales, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.